I authorise any medical practitioner, sports scientist or therapist whom I have consulted during the 12 months preceding the commencement of this Agreement or during my membership of the Team, to provide details to the Team Medical Director of any illness, disease or injury which I may have suffered or any pre-existing medical condition and all immunisations administered and drugs and medications prescribed for me. This information will be provided at the request of the Team Medical Director and is required to determine my medical fitness to perform to the best of my ability at the Games and to carry out my duties under this Agreement (and to the Team) to the best of my ability, and to assess the risk of preventing other Team members or competitors in the Games from performing to the best of their ability; the Team Medical Director to make full disclosure to the CEO and the Chef de Mission of any information obtained pursuant to clause 9.1(1), including any diagnosis, treatment, immunisations administered, and drugs and medications that have been made or prescribed for me; any medical practitioner, sports scientist or therapist whom I have consulted during the 12 months preceding the commencement of this Agreement or during my membership of the Team, the Team Medical Director, the Chef de Mission and the CEO to exchange with each other any information or opinions about my health, medical condition, medical history, test results or medical services provided or to be provided to me (including any information referred to in paragraph (1) or (2) above) for any purpose related to my selection for or participation in the Games; and the AOC to retain any medical information and the results of any tests or examinations to which I was subjected for use in research and publication in medical and scientific papers, provided that my anonymity is maintained in any publication.
I authorise. E.5 New Zealand Water Polo to retain any medical information obtained in respect of me and the results of any tests or examinations carried out on me for use in research and publication in medical or scientific papers provided that such publication is done to protect my anonymity. I understand that:
I authorise. WSK Glass and Aluminium Pty Ltd to proceed with the above job in accordance with WSK Glass and Aluminium Pty Ltd's Terms and Conditions of Sale. How To Pay Mail Detach this section and mail cheque to: WSK Glass and Aluminium Pty Ltd Xxxx 0, 0 Xxxxxxxxx Xxxxxx Xxxxxxxxxx, XXX, 0000 Direct Deposit Bank: NAB Name: WSK Glass and Aluminium BSB: 084 917 Acc. No: 28 954 8359 Customer Reference: Quotation number / Invoice number Credit Card (MasterCard or Visa) Call 0000 000 000 to pay over the phone. Customer Reference: Quotation number / Invoice number Payment terms (non account customers): Orders for $1,000 or less are to be paid in full before manufacture can commence. Orders over $1,000 require 50% deposit on placing the order with the balance payable by cleared funds before goods leave the factory. It is the final responsibility of the customer to ensure all details are accurate and correct. Errors and omissions in this quote are excluded. This quote/invoice is supply only unless stated otherwise. It is not possible to accept alterations or cancellations once production has commenced. This quote is to be read in conjunction with WSK Australia's ''Terms & Conditions of sale''.
